Individual provider Active NPI

Mickelle Riley, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1124203294
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9206393 Issued in FL
Practice address
400 N Tampa St FL 15
Tampa, FL 33602-4730
Phone
(888) 803-3370
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9206393 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301829 AZ
Family Nurse Practitioner 363LF0000X 9206393 FL Primary

Addresses

Primary practice location

400 N Tampa St FL 15
Tampa, FL 33602-4730

Mailing address

400 N Tampa St FL 15
Tampa, FL 33602-4730
Phone (888) 803-3370

Other practice location 1

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370

Other practice location 2

2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000737 FL Practitioner - Nurse Practitioner 1951487008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-3060

440 Franklin St
Bloomfield, NJ 07003-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9206393FLMDFamily Nurse Practitioner
301829AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA CurrentSince May 2, 2025 Accepting new patients
Blue Ocean Dermatology LLC CurrentSince Oct 7, 2020 Accepting new patients
Mid-Florida Dermatology Associates P.a. CurrentSince Aug 1, 2008 Accepting new patients
Mid-Florida Dermatology Associates CurrentSince Aug 1, 2008 Accepting new patients
Mid Florida Autism Center PastSince Feb 6, 2022 Accepting new patients
Dermatology on the Spot, LLC PastSince Oct 7, 2020 Accepting new patients
Mid-Florida Dermatology Associates PastSince Jun 22, 2021 Accepting new patients

Locations

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

3951 S Nova Rd
Ste 3
Port Orange, FL 32127

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

1840 Greenwich Ave
Winter Park, FL 32789
Phone (407) 644-4212

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1124203294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N TAMPA ST FL 15",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024730",
            "telephone_number": "888-803-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TAMPA ST FL 15",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024730",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 NE 214th St Ste 801",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801269",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MICKELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9206393",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301829",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9206393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.